Individual provider Active NPI

John J Zelis, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Jacksonville, FL
National Provider Identifier
1205815859
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
ME108867 Issued in FL
Practice address
5220 Belfort Rd
Ste 130
Jacksonville, FL 32256-6017
Phone
(727) 867-5480
Fax
(888) 507-9833
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35064102 OH
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X ME108867 FL Primary
Procedural Dermatology Physician 207NS0135X ME108867 FL

Addresses

Primary practice location

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256-6017

Mailing address

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256-6017
Phone (727) 867-5480

Other practice location 1

5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (941) 342-8060

Other practice location 2

601 Main St
Dunedin, FL 34698-5848
Phone (855) 546-6296

Other identifiers 2

IdentifierTypeStateIssuer
2172527MedicaidOH
003472000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110518000525 FL Practitioner - General SurgeryPractitioner - Preventive Medicine 5991744435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians

Practice addresses (Care Compare)

1120 Pinellas Bayway S
Suite 200
Tierra Verde, FL 33715-1505
Phone (727) 867-5480

1901 Haverford Ave
Suite 109
Sun City Center, FL 33573-5200
Phone (855) 689-5105

200 Ave F NE
Winter Haven, FL 33881-4131
Phone (863) 297-1787

250 2ND St E
Suite 4E
Bradenton, FL 34208-1028
Phone (941) 745-7251

280 Patterson Rd
Suite 4
Haines City, FL 33844-6261
Phone (863) 422-8123

3280 Tamiami TRL
Suite 491
Port Charlotte, FL 33952-8053
Phone (941) 629-5118

455 Pinellas St
Suite 300
Clearwater, FL 33756-3367
Phone (727) 298-6720

779 Medical Dr
Suite 4
Englewood, FL 34223-3980
Phone (941) 473-9305

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue106
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108867FLMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
35064102OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Health Care Group LLC Procedural Dermatology CurrentSince Oct 12, 2017 Accepting new patients
Nautilus Health Care Group, LLC Procedural Dermatology CurrentSince Oct 12, 2017 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients

Locations

250 2nd St E
Ste 4E
Bradenton, FL 34208
Phone (941) 745-7251

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

8340 Lakewood Ranch Blvd
Ste 280
Lakewood Ranch, FL 34202
Phone (941) 748-1818

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

1609 Pasadena Ave S
Ste 1E
South Pasadena, FL 33707
Phone (727) 341-7870

1901 Haverford Ave
Ste 109
Sun City Ctr, FL 33573
Phone (813) 634-0664

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

Interoperability endpoints

  • Direct secure messaging: jzelis214103@orlandohealth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1205815859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 BELFORT RD",
            "address_2": "STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566017",
            "telephone_number": "727-867-5480",
            "fax_number": "888-507-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 BELFORT RD",
            "address_2": "STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566017",
            "telephone_number": "727-867-5480",
            "fax_number": "888-507-9833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5731 Bee Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342335056",
            "country_code": "US",
            "telephone_number": "941-342-8060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Main St",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346985848",
            "country_code": "US",
            "telephone_number": "855-546-6296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELIS",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35064102",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "FL",
            "license": "ME108867",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME108867",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2172527",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003472000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.